Smith, Sean L

Smith, Sean L is an individual health care provider with primary practice located at 4142 S Mingo Rd , Tulsa OK 74146-3632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Smith, Sean L can be contacted via phone (918) 744-2553.

Contact Information

Primary practice address
4142 S Mingo Rd Tulsa OK 74146-3632
Phone: (918) 744-2553
Fax: (918) 744-3482
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 21078 Oklahoma

Profile Details

NPI number 1730169350
LBN Legal business name Smith, Sean L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jun 13th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730169350 NPPES
Oklahoma MEDICAID 100108480A

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